Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $57.54	Professional		$18.20	$32.36	$57.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $81.28	Professional	50	$47.86	$67.61	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $134.90 / $407.38	Facility		$47.86	$134.90	$407.38
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $72.44 / $186.21 / $616.60	Facility	50	$72.44	$186.21	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $57.54	Professional		$29.51	$37.15	$57.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $51.29 / $85.11	Professional	50	$43.65	$51.29	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $48.98	Professional		$21.38	$32.36	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $42.66 / $70.79	Facility		$19.95	$42.66	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $57.54	Professional		$25.12	$38.02	$57.54
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $81.28	Professional	50	$47.86	$67.61	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $501.19	Facility		$281.84	$354.81	$501.19
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $588.84 / $758.58	Facility	50	$426.58	$588.84	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $58.88	Professional		$23.99	$37.15	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $251.19	Professional		$19.95	$28.84	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,819.70 / $9,332.54	Facility		$151.36	$1,819.70	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $58.88	Professional		$23.44	$38.02	$58.88